title: Twelve-year-old girl with intracranial epidural abscess and sphenoiditis.
abstract: We report the case of a 12-year-old girl with an intracranial epidural abscess and sphenoiditis. Although she had no history of sinusitis, she developed acute severe headache, fever, and vomiting. Emergent CT and MRI showed a spherical space-occupying lesion of diameter 3 cm in the right cranial fossa with rim enhancement. The lesion was thought to be an epidural abscess adjacent to the right sphenoiditis. On the basis of the MRI findings, we performed emergent surgery to drain the abscess and sinusitis because of severe and rapidly worsening headaches. The patient showed great improvement the day after the operation. Intravenous antibiotics were administered for 8 days. She has completely recovered, with neither sequelae nor recurrence at 7 months after the operation. We believe that this report will be a useful reference for cases of acute onset headache and may be helpful in diagnosis and treatment decisions for severe sinusitis-related intracranial abscess in childhood.
authors.affiliation: Department of Pediatrics, Graduate School of Medicine, Osaka City University, Japan. Electronic address: setot@med.osaka-cu.ac.jp.
authors.forename: Toshiyuki
authors.initials: T
authors.lastname: Seto
authors.affiliation: Department of Pediatrics, Graduate School of Medicine, Osaka City University, Japan.
authors.forename: Hiroharu
authors.initials: H
authors.lastname: Takesada
authors.affiliation: Department of Otolaryngology, Graduate School of Medicine, Osaka City University, Japan.
authors.forename: Naoki
authors.initials: N
authors.lastname: Matsushita
authors.affiliation: Department of Neurosurgery, Graduate School of Medicine, Osaka City University, Japan.
authors.forename: Kenichi
authors.initials: K
authors.lastname: Ishibashi
authors.affiliation: Department of Neurosurgery, Graduate School of Medicine, Osaka City University, Japan.
authors.forename: Naohiro
authors.initials: N
authors.lastname: Tsuyuguchi
authors.affiliation: Department of Radiology, Graduate School of Medicine, Osaka City University, Japan.
authors.forename: Taro
authors.initials: T
authors.lastname: Shimono
authors.affiliation: Department of Pediatrics, Graduate School of Medicine, Osaka City University, Japan.
authors.forename: Norikatsu
authors.initials: N
authors.lastname: Hikita
authors.affiliation: Department of Pediatrics, Graduate School of Medicine, Osaka City University, Japan.
authors.forename: Taeka
authors.initials: T
authors.lastname: Hattori
authors.affiliation: Department of Pediatrics, Graduate School of Medicine, Osaka City University, Japan.
authors.forename: Katsuji
authors.initials: K
authors.lastname: Tanaka
authors.affiliation: Department of Pediatrics, Graduate School of Medicine, Osaka City University, Japan.
authors.forename: Haruo
authors.initials: H
authors.lastname: Shintaku
mesh_terms: D002648:Child; D020802:Epidural Abscess / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D005260:Female; D006257:Head / Q000000981:diagnostic imaging / Q000473:pathology; D006801:Humans; D008279:Magnetic Resonance Imaging; D015524:Sphenoid Sinusitis / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D014057:Tomography, X-Ray Computed
keywords: DWI; Epidural abscess; Gd-MRI; Intracranial abscess; Sphenoiditis